Organization
CHILDREN'S HOSPITAL CORPORATION
Active
Other names
Childre's Hospital Boston Early Intervention Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A KIRSHNER (SR VP FINANCE AND CFO)
(617) 355-6881
Entity
Organization
Contact information
Practice address
75 BICKFORD ST, JAMAICA PLAIN, MA 02130-1401
(617) 355-4831
(617) 730-0080
Mailing address
300 LONGWOOD AVE, PATIENT FINANCIAL SERVICES ATN STEVEN NICOLL, BOSTON, MA 02115-5724
(617) 355-4831
(617) 730-0080
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
2139
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006560
BOSTON MEDICAL CTR HEALTH
MA
01
—
0009150
NEIGHBORHOOD HELATH PLAN
MA
05
—
1803212
—
MA
01
—
613436
TUFTS HEALTH PLAN
MA
01
—
623879
HARVARD PILGRIM HEALTH PL
MA
01
—
E10038
BLUE CROSS BLUE SHEILD
MA
Enumeration date
09/16/2006
Last updated
08/22/2020
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